ANDREW TYLER CUPP DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030630

License Status

NOT RENEWED

Business

Title

DMD

First Name

ANDREW

Middle

TYLER

Last Name

CUPP

Business Name

ANDREW TYLER CUPP DMD

Original Issue Date

05/25/2016

Effective Date

05/25/2016

Expiration Date

09/30/2018

City

SAVANNAH

State

Zip

31401

Ever Disciplined

LastModifiedDate

10/31/2018